Mobile healthcare, telemedicine, telehealth, BYOD

Telehealth Reimbursement

CMS to Reimburse Providers for Remote Patient Monitoring Services

November 2, 2018 - The Centers for Medicare & Medicaid Services has finalized plans to reimburse healthcare providers for certain remote patient monitoring and telehealth services. CMS this week issued its final 2019 Physician Fee Schedule and Quality Payment Program, opening the door to reimbursement for connected care services that enable providers to manage and coordinate care at home. The changes...


More Articles

CMS Proposes Telehealth Expansion for Medicare Advantage Plans

by Eric Wicklund

The Centers for Medicare & Medicaid Services is looking to expand telehealth access for members enrolled in Medicare Advantage plans. As part of a 362-page proposal issued on October 26, the Centers for Medicare & Medicaid...

CCHP Report Shows States Are Still Looking For Value in Telehealth

by Eric Wicklund

Anyone looking for that fabled tipping point in telehealth reimbursement and adoption will have to wait a bit longer. The latest edition of the Center for Connected Health Policy’s State Telehealth Laws and Reimbursement Policies...

Pennsylvania Legislature Fails to Pass Telehealth Parity Bill

by Eric Wicklund

Pennsylvania lawmakers have balked on proposed legislation to establish payment parity for telehealth, following strong lobbying from the payer industry. Senate Bill 780, introduced earlier this year by State Sen. Elder Vogel, would have...

Illinois OKs Medicaid Coverage for Mental Health Via Telehealth

by Eric Wicklund

Illinois Gov. Bruce Rauner has approved legislation mandating the state’s Medicaid program to reimburse behavioral and mental health providers for telehealth. The bill was one of five signed into law this week by Rauner, all...

CMS Overhaul of ACO Rules Includes a Nod to Telehealth’s Value

by Eric Wicklund

A federal effort to revamp the rules around Accountable Care Organizations includes a few nods to telehealth and telemedicine, giving healthcare providers hope that connected care platforms will become more prominent in an overhauled...

CMS Makes a ‘Landmark Change’ in RPM, Telehealth Reimbursement

by Eric Wicklund

Earlier this month, the Centers for Medicare & Medicaid Services unveiled its proposed 2019 Medicare Physician Fee Schedule and Quality Payment Program, with several amendments designed to boost remote patient monitoring and telehealth...

State Medicaid Programs Are Seeing the Value of Telehealth at Home

by Eric Wicklund

State lawmakers are coming around to the concept of allowing Medicaid members to access telehealth and telemedicine services from their own homes. In its spring 2018 update of the State Telehealth Laws and Reimbursement Policies Report,...

Feds Take CMS to Task Over Improper Telehealth Reimbursements

by Eric Wicklund

About three of every 10 Medicare reimbursements for telehealth in 2014-15 were made in error, according to a recent audit by federal regulators. The U.S. Health and Human Services Department of the Inspector General announced last week...

Senate Bill Expands Rural Access to Telehealth in Iowa

by Jessica Kent

A bill approved by the Iowa Senate requires health insurers to cover both telehealth and in-person services equally and could expand rural access to telemedicine, particularly in specialty areas such as psychiatry. “Telehealth...

CT Employers, Payers Oppose Fixed Rates for Telehealth Services

by Kyle Murphy, PhD

A recent hearing to discuss a bill to allow Connecticut physicians to provide telepsychiatry services saw employers and health plans in the state opposing a measure to pay for these telehealth services at the same rate as in-person...

Utah Lawmakers, Payers Grapple Over Telemental Health Legislation

by Eric Wicklund

Utah lawmakers are grappling with proposed legislation that would require insurers to cover telemental health consults. HB 139, sponsored by Rep. Steve Eliason (R.-Sandy), would mandate that the state’s Medicaid program and private...

OIG Expands Telehealth, Telemedicine Audits to Medicaid Claims

by Eric Wicklund

Healthcare providers will be checking to make sure their telehealth and telemedicine programs comply with state Medicaid regulations following news that the Health and Human Services Department’s Office of the Inspector General will...

MA Telehealth Bill Set For Passage; Others Aren’t So Fortunate

by Eric Wicklund

A proposed bill to boost telehealth coverage in Medicare Advantage plans is set for passage, while other bills that would loosen Medicare’s restrictions on telemedicine and telehealth – including expanding telestroke services...

CMS Won’t Cover Telehealth in Medicare Diabetes Prevention Program

by Eric Wicklund

The Centers for Medicare and Medicaid Services has once again declined to cover virtual coaching platforms in the Medicare Diabetes Prevention Program, saying the mHealth and telehealth platform isn’t reliable enough to warrant...

Kansas Payers Push Back Against Telehealth Payment Parity

by Eric Wicklund

Payers in Kansas are fighting proposals for payment parity in telehealth, saying a virtual visit shouldn’t be reimbursed at the same rate as in in-person visit. “Telemedicine services are not equivalent to in-person services...

Telehealth Barriers Should Be Defined by Access, Not Geography

by Eric Wicklund

Telehealth and telemedicine programs aren’t catching on in urban America because reimbursement models are targeting the wrong metric. That’s the opinion of researchers from Princeton University and Philadelphia’s Thomas...

Congress Mulls Proposal to Boost Telehealth Coverage in MA Plans

by Eric Wicklund

The latest telehealth bill surfacing in Washington DC targets Medicare Advantage plans. H.R. 3727, introduced on Sept. 11 by US Reps. Diane Black (R-Tenn.), Mike Thompson (D-Calif.), Doris Matsui (D-Calif..) and Susan Brooks (R-Ind.),...

Medicare Spending on Telehealth Increases, But Barriers Remain

by Eric Wicklund

Healthcare providers may be using more telehealth and telemedicine than ever before, but Medicare Is still a significant barrier to growth. An analysis of the Centers for Medicare and Medicare Services’ 2016 payments for telehealth...

CMS Reimbursing For Telemedicine Even As It Scales Back Programs

by Eric Wicklund

In a bit of good news-bad news for the telemedicine industry, federal officials said they will reimburse healthcare providers for their telemedicine expenses in a bundled payment program – even as they announced plans to scale back...

X

Join 50,000 of your peers and get the news you need delivered to your 

inbox. Sign up for our free newsletter to keep reading our articles:

Get free access to webcasts, white papers and exclusive interviews.

Our privacy policy


no, thanks